Presentation
Chronic wrist pain and no history of trauma.
Patient Data
Age: 20 years
Gender: Male
From the case:
Kienböck disease
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Axial PD fat sat

- lunate bone is relatively small-sized reflecting diffusely abnormal signal of its marrow with internal cystic changes and edema, being low on T1 and heterogenous bright signal on PD fat impression sequence
- negative ulnar variance
- os triangulare
Case Discussion
MRI features of a Kienböck disease in a young male patient with a negative ulnar variance which is considered a predisposing factor in 75% of cases.